Individual
KESTER WILLISFORD LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1122 EASTERN PARKWAY, BROOKLYN, NY 11213
(718) 467-6800
Mailing address
1122 EASTERN PARKWAY, BROOKLYN, NY 11213
(718) 467-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
027305
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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